Chapter 16. Large Bowel Obstruction

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,
  2. Bryan A. Cotton MD, MPH Associate Professor4,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer3,5 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor6
  1. Igor V. Voskresensky1 and
  2. Bryan A. Cotton MD, MPH Associate Professor4

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch16

Emergency Surgery

Emergency Surgery

How to Cite

Voskresensky, I. V. and Cotton, B. A. (2010) Large Bowel Obstruction, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch16

Editor Information

  1. 2

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 3

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 5

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 6

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. 1

    Department of Surgery, Division of Trauma and Emergency Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

  2. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172

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Keywords:

  • large bowel obstruction;
  • small bowel obstruction (SBO) and large bowel obstruction (LBO);
  • colonic volvulus, abdominal pain and distention;
  • plain film radiographs;
  • endoscopic evaluation, both diagnostic and therapeutic;
  • water-soluble contrast enemas - used if CT is not available;
  • nasogastric tube (NGT) placement for proximal bowel decompression;
  • patients with uncontrolled perforation, peritonitis - need for emergent laparotomy bowel obstruction;
  • colorectal carcinoma;
  • inflammatory bowel disease - patients with IBD

Summary

This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Imaging

  • Further reading